Randy Hermann, MA,LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401010673 Issued in MI

Practice address

26862 Woodward Ave
Suite 102
Royal Oak, MI 48067-0957

Phone

(248) 398-0740

NPI assigned

Apr 18, 2013

Last updated

Dec 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1073957296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 COTTAGE LN",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894710",
            "telephone_number": "586-491-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26862 WOODWARD AVE",
            "address_2": "SUITE 102",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670957",
            "telephone_number": "248-398-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "RANDY",
        "credential": "MA,LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010673",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010673",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401010673",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Gough Henry, OTR/L
• Takato Henry
• Kjerstin Hensley, MD
• Melissa Ann Hentschel, CRNA
• Lauren Hepola
• Merna Hermiz
• Andrea Carolina Hernandez Troya, M.D.
• Amanda Belen Herrera, MD
• Eric Herrera, MD
• Michael Herrera, MD

• Counselor in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.